Individual
DR. JACINTO DEL MAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 PEACHTREE ST NE, SUITE 1600, ATLANTA, GA 30308
(404) 881-1094
(404) 874-1249
Mailing address
550 PEACHTREE ST NE, STE 1700, ATLANTA, GA 30308-2262
(404) 881-9727
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
014238
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000185215B
—
GA
Enumeration date
02/21/2006
Last updated
12/31/2020
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